Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Acevedo, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043892060

Stephanie Acevedo, PA is a Physician Assistant in Rutherford, New Jersey. Qualified in 2023, 3 years ago. Practices with Optum Medical Care of New Jersey PC, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

201 Route 17 Fl 1202
Rutherford, NJ 07070-2557
Phone: (201) 975-2323
Fax: (801) 581-5807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 375 Chipeta Way, Salt Lake City, UT 84108 — (801) 581-7766

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00811300 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043892060
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Optum Medical Care Of New Jersey Pc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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